Individual provider Active NPI

Seyun Kim, MD

  • Emergency Medicine Physician
  • Sacramento, CA
National Provider Identifier
1508197591
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57508 Issued in KY
Practice address
1501 16TH St Apt 205
Sacramento, CA 95814-6075
Phone
(916) 812-1062
NPI assigned
Jan 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 28650 NE
Emergency Medicine Physician 207P00000X 57508 KY Primary

Addresses

Primary practice location

1501 16TH St Apt 205
Sacramento, CA 95814-6075

Mailing address

1501 16TH St Apt 205
Sacramento, CA 95814-6075
Phone (916) 812-1062

Other practice location 1

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141217000471 NY Practitioner - Emergency Medicine 0547484099 Reassigns benefits to 4 organizations
I20220630001553 WI Practitioner - Emergency Medicine 0547484099 Reassigns benefits to 7 organizations
I20230510002527 KY Practitioner - Emergency Medicine 0547484099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Davis School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

3920 Dutchmans LN
Louisville, KY 40207-4702
Phone (502) 259-6100

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Aspirus Merrill Hospital Hospital, Merrill, WI, CCN 521339
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
  • Uofl Health - Shelbyville Hospital Hospital, Shelbyville, KY, CCN 180016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jun 1, 2023 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince May 6, 2019 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jun 21, 2022 Accepting new patients
Brookdale Hospital Medical Center CurrentSince May 6, 2019 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Apr 21, 2023 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
The Howard Young Medical Center, Inc. Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Emergency Medicine CurrentSince Apr 21, 2023 Accepting new patients
Kingsbrook Medical Associates, PC Current Accepting new patients
Divine Savior Healthcare, Inc. Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Kingsbrook Medical Associates PC Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jun 21, 2022 Accepting new patients
Orange Emergency Services PC Emergency Medicine CurrentSince Oct 15, 2014 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Aspirus Eagle River Hospital, Inc. Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 23, 2023 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1508197591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 16TH ST APT 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958146075",
            "telephone_number": "916-812-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 16TH ST APT 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958146075",
            "telephone_number": "916-812-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEYUN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "28650",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "57508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.